Organization
SERVING WITH LOVE HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELINE NYASA RN, MHHA (CHIEF EXECUTIVE OFFICER)
(651) 587-8981
Entity
Organization
Contact information
Practice address
1720 CROSS TIMBERS DR, PROSPER, TX 75078-8617
(651) 587-8981
(214) 442-5491
Mailing address
1720 CROSS TIMBERS DR, PROSPER, TX 75078-8617
(651) 587-8981
(214) 442-5491
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
220041508
TX
251B00000X
Case Management Agency
877313
TX
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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